| NPI | 1992901482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9370330) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 721508) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9370330) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2021-01-25 |